| NPI | 1598200198 |
|---|---|
| Former Legal Business Name | FRESNO LONG TERM CARE MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | ASHA PRITPAL SINGH SIDHU Owner 559-222-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A066417) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |